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General NPI Number Information
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NPI Number | 1710931845
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Entity Type | Individual
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Provider Name | KARA MICHELLE PAINTON APN
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Gender | Female
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 2512 HURST DR STE 120
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City | MATTOON
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State | IL
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Zip | 61938-9200
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Country | US
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Telephone | 217-258-7590
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Fax |
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Provider Business Mailing Address
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Address Line | 611 W. PARK ST. BWPC
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City | URBANA
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State | IL
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Zip | 61801-2500
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Country | US
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Telephone | 217-383-6792
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209005779
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License Number State | IL
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